Modern treatment options such as shock wave (ESWT), stem cell (SVF), PRP-P Shot, penile prosthesis, combined treatments, venous insufficiency and exosome are offered in erectile dysfunction.
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Stem Cell Treatments for Erectile Dysfunction · 3 questions
Stem cell therapy stands out as an effective option for solving erectile dysfunction. Some of the advantages offered by this treatment method include: Long-lasting Effect: Stem cell therapy aims to address the root cause of…
Stem cell therapy typically involves several steps. First, stem cells are obtained from a suitable source from the patient. Then, the obtained stem cells are processed and prepared according to a specific treatment protocol for…
Stem cell therapy can be applied to many patients suffering from erectile dysfunction. Patients who have erectile dysfunction due to underlying health issues such as diabetes, cardiovascular diseases, and high blood pressure may…
P-Shot (PRP) Treatment for Erectile Dysfunction · 4 questions
Erectile dysfunction, known in medical literature as erectile dysfunction (ED), is the inability to achieve or maintain an erection sufficient for sexual intercourse.
The P-Shot is a treatment in which platelet-rich plasma obtained from the patient’s own blood is injected into the penis. The P-Shot, also known as Platelet Rich Plasma (PRP) therapy, is a treatment method that involves injecting…
The P-Shot treatment starts with drawing blood from the patient, which is then processed to obtain PRP. The PRP is then injected into the cavernous tissue of the penis.
P-Shot treatment is generally recommended for men who suffer from erectile dysfunction and have not responded to other treatment methods.
Penile Venous Insufficiency Surgery · 1 questions
The diagnosis of venous insufficiency is typically made by a specialist doctor. The doctor evaluates the patient's symptoms and, if necessary, performs a physical examination.
Erectile Dysfunction Treatment with Exosomes · 5 questions
Exosome therapy is a treatment method in which exosomes are used for therapeutic purposes. This treatment is generally applied for tissue regeneration, wound healing, and reducing inflammation.
Exosome therapy is performed by processing platelets obtained from the patient's own blood and isolating exosomes from these platelets. These exosomes are then injected into the damaged tissue.
The duration of exosome therapy is generally limited to a few hours. The procedure includes preparation, application, and post-care processes.
Exosome therapy may require multiple sessions depending on the patient's needs. Generally, treatment protocols vary between 3-6 sessions.
Exosome therapy offers many benefits, including: Tissue Regeneration: Exosomes help repair and regenerate damaged tissues. Reduction of Inflammation: Exosomes reduce inflammation, speeding up the healing process.
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What Are Shock Wave (ESWT) and SVF Treatment? · 5 questions
Shock wave therapy (ESWT — extracorporeal shockwave therapy) is the application of low-intensity focused sound waves to the tissue of the penis using a special device. It creates no incision, no burning and no damage to the body.
SVF treatment (stromal vascular fraction) is the injection into the penile tissue of a live cell suspension, rich in stem cells and growth factors, obtained from the patient's own abdominal fat.
Shock wave therapy creates micro-stimuli in the penis and so increases blood supply to the tissue, while SVF stem cell treatment delivers fresh repair cells to that stimulated area.
ESWT is an entirely painless procedure. In SVF treatment, local anaesthetic is applied during both the fat harvesting and the injection stages, so the patient feels no pain.
With ESWT, the effects are noticed from the third or fourth session onwards. With SVF stem cell treatment, tissue regeneration begins from the first month and reaches its maximum within three to six months.
Is Erectile Dysfunction Caused by Blood Vessels? · 4 questions
The arteries of the penis are on average 1 to 2 millimetres in diameter, whereas the coronary vessels supplying the heart are 3 to 4 millimetres.
At our Andrology Clinic in Mavisehir, Izmir, vascular damage is identified and treated through the following steps:
High blood sugar damages the endothelial tissue lining the inner surface of the vessels and impairs the release of nitric oxide, which dilates them. This prepares the ground for both arterial narrowing and venous leak.
The clearest sign is the complete disappearance of night-time and early-morning erections. If the involuntary erections that occur at night or on waking have disappeared completely, and the person also has hypertension, a smoking…
Regenerative Andrology: Stem Cell, Exosome and P-Shot Treatments · 6 questions
Stem cell therapy is a cellular treatment that makes maximum use of the body's own capacity for self-repair. In andrology, SVF (stromal vascular fraction) stem cells obtained from the patient's own abdominal fat tissue are…
Exosome therapy is a new-generation cellular communication treatment regarded as a step beyond stem cell technology. Exosomes are microscopic nanovesicles secreted by stem cells, carrying thousands of growth factors, RNA, miRNA…
The P-Shot (Priapus Shot) is the injection into the penile shaft of platelet-rich plasma (PRP) obtained from the patient's own blood and enriched with special activators.
These treatments are not temporary enhancers; they biologically renew the vascular and nerve tissue of the penis. With correct patient selection they provide a lasting and marked improvement in erection quality.
No. Because anaesthetic creams are applied to the penis before the injection, the patient feels no pain during the procedure.
The right treatment is determined by examination and tests, not by choosing from a list in advance. Op. Dr. Taylan Yanar determines an individual treatment protocol, single or combined, after examining the patient's age, the…
Can Testosterone Be Raised Naturally? The Science and the Methods · 4 questions
Lifestyle changes can produce increases of 20 to 30 per cent in hormone levels. However, if your total testosterone is far below the medically established reference values (generally under 300 ng/dL) and you have the following…
There is insufficient scientific evidence that most herbal supplements sold as testosterone boosters (Tribulus and similar) clinically raise testosterone.
Yes. Testosterone reaches its highest point in the early hours of the morning and falls naturally towards the evening. Hormone tests should therefore be carried out between 08:00 and 10:00 and on an empty stomach.
Yes. Excessive and chronic alcohol consumption lowers testosterone. Excessive and chronic alcohol consumption directly damages the Leydig cells in the testes, suppressing testosterone production and accelerating the conversion of…
Why Do Morning Erections Disappear? Causes and Treatment · 5 questions
The presence of morning erections is the key distinction: if they continue, the cause is more likely psychological. The presence of morning erections is the gold standard test for andrologists in understanding the origin of…
The absence of morning erections for a few days may be due to temporary fatigue or stress. However, if the situation continues for more than two weeks, examination by a specialist urologist and andrologist is necessary without…
The frequency of morning erections may decrease with age because of the natural fall in testosterone, but their complete disappearance is not a normal part of ageing. It points to an underlying vascular cause.
Nocturnal erections preserve the oxygenation and tissue elasticity of the penis. A prolonged absence of morning erections can cause a loss of elasticity in penile tissue (fibrosis) and, over time, permanent erectile dysfunction.
A full bladder can stimulate nerves in the spinal cord and trigger an erection. However, this alone is not sufficient; without a healthy vascular and nerve foundation, even a full bladder will not produce an erection.
Turn Back the Clock: Natural Penile Rejuvenation with the P-Shot in Izmir · 9 questions
The P-Shot is the precise injection into penile tissue of growth factors and enriched plasma obtained entirely from the patient's own blood.
Whereas traditional treatments, particularly performance-enhancing tablets, offer only momentary and temporary solutions, the P-Shot addresses the origin of the problem.
One of the greatest advantages of P-Shot therapy is that no period of rest is required after a session. As soon as the procedure is finished you can leave the clinic and return without difficulty to your daily work or social…
The P-Shot (Priapus Shot) is a natural penile rejuvenation method in which growth factors obtained from the patient's own blood are injected into penile tissue.
No, the P-Shot is an entirely painless and comfortable procedure. Special creams with a local anaesthetic effect are applied to the injection area beforehand, so the patient feels no discomfort or pain.
The number of sessions varies according to the individual's sexual health and the degree of erectile dysfunction. A protocol of three to four sessions at monthly intervals generally gives optimal results.
P-Shot therapy has no known serious side effects and no risk of allergy. The most important reason for this is that the procedure uses entirely the patient's own blood components (autologous plasma).
Because the P-Shot is not a surgical intervention it does not restrict daily life; you can walk out of the clinic immediately afterwards and return to work.
No. Whereas tablets that enhance sexual function provide an artificial increase in blood flow only for the few hours after they are taken, the P-Shot permanently repairs damaged capillaries and tissue in the penis at cellular…
A Lasting, Non-Surgical Solution for Erectile Dysfunction: A Complete Guide to ESWT · 9 questions
ESWT (extracorporeal shock wave therapy) is the delivery of low-intensity sound (shock) waves from outside the body to a target area.
Informed patients look for a scientific answer to the question of how the treatment works. The mechanism of ESWT consists of three basic steps: Angiogenesis (new vessel formation): the sound waves create mechanical stress at…
ESWT is used for erectile dysfunction, Peyronie’s disease and chronic pelvic pain syndrome. At Op. Dr. Taylan Yanar's clinic, ESWT technology is applied successfully not only for erectile dysfunction but also for other…
The following reasons clearly explain why patients are turning increasingly to ESWT: Completely non-surgical: it requires no incision, sutures or anaesthesia.
At our clinic in Mavisehir, Karsiyaka, Izmir, the treatment process is planned with patient privacy and comfort as priorities. Examination and diagnosis: first a detailed urological examination is carried out by Op. Dr.
No. The head of the ESWT device creates only a slight tingling or vibrating sensation on the skin surface. The procedure is entirely painless.
Patients generally begin to notice the return of morning erections and an increase in blood flow from the third or fourth session onwards.
In mild to moderate erectile dysfunction of vascular origin the success rate is between 70 and 80 per cent. In severe cases it can be used to improve the response to medication.
According to the international medical literature and the guidelines of the European Association of Urology (EAU), ESWT has no proven lasting side effects.
What Is ESWT? Shock Wave Therapy in Urology · 10 questions
Two main technologies are used in ESWT: focused and radial shock waves. In urological and andrological treatment, and particularly in erectile dysfunction and Peyronie's disease, focused ESWT is regarded as the gold standard.
ESWT is particularly well suited to men whose erectile difficulty is of vascular origin. Diabetic patients, those with cardiovascular disease and men who notice a decline in sexual function with age benefit most.
Many patients ask how long the effect lasts. Clinical research indicates that the effect of ESWT continues for one to two years, and that this period can be extended further when supported by a healthy lifestyle — good nutrition…
Although the protocol varies from patient to patient, a course of six sessions, generally one or two per week, is usual. In severe cases this may be increased to twelve.
Although the method is safe, there are situations in which ESWT is not recommended. Care should be taken, or treatment postponed, in patients with an active urogenital infection, a suspected malignant tumour in the penile area or…
ESWT is generally painless, or involves only minimal discomfort. During the session patients feel a light tapping or vibration against the penis, caused by the sound waves produced by the device coming into contact with the…
Improvement generally begins after the third or fourth session, and the clearest results appear two to three months after the final one.
Because ESWT is non-invasive, its side effect profile is very low. It has no known systemic side effects, which makes it safe for patients with heart conditions or high blood pressure who cannot take medication.
Erection tablets (PDE5 inhibitors) provide a temporary increase in blood flow only while they are being taken. They do not treat the problem; they conceal the symptom.
The main achievement of ESWT in Peyronie's disease is the relief of pain and the softening of the plaques, halting the progression of the condition.
P-Shot Treatment: PRP for Erectile Function and Penile Rejuvenation · 8 questions
P-Shot is short for Priapus Shot, and the technology behind it is platelet-rich plasma (PRP). The treatment consists of injecting growth factors obtained from the patient's own blood into specific areas of the penis.
The P-Shot offers an effective solution for a wide range of sexual health problems, but its most common application is in mild to moderate erectile dysfunction.
The P-Shot is an in-clinic procedure taking around 30 to 45 minutes and requiring no hospital stay. The process begins with a small quantity of blood — around 10 to 20 ml — being taken from the patient's arm.
No — pain during the P-Shot procedure is minimal. Thanks to the medical-grade numbing creams applied to the penis beforehand, and to the local anaesthetic blocks used in some cases, patients feel almost nothing as the needle…
Cellular renewal takes time. Although some patients notice an increase in morning erections within a week, the real change in the tissue and the formation of new blood vessels become apparent from the third week onwards.
The P-Shot is not fundamentally an enlargement procedure. However, because tissue health improves, blood supply is restored and the firmness of the erection is maximised, the penis may appear fuller and sometimes one to two…
The number of sessions varies according to the patient's needs. A single session is generally sufficient for most patients, while two or three sessions at four- to six-week intervals may be recommended in patients with severe…
Because the P-Shot is obtained from the patient's own blood, the risk of allergic reaction, tissue rejection or infection (when carried out under sterile conditions) is negligible.
What Is SVF Treatment? Stem Cells for Erectile Dysfunction · 10 questions
The stromal vascular fraction (SVF) is a heterogeneous cell population obtained from an adult's own fat (adipose) tissue. It contains a high concentration of mesenchymal stem cells, endothelial cells, pericytes, immune cells and…
SVF is not simply "stem cells" — its structure is considerably more complex. It contains adipose-derived stem cells (ADSCs), pre-adipocytes, vascular smooth muscle cells, endothelial progenitor cells and regulatory T cells.
Patients frequently confuse SVF with PRP (platelet-rich plasma). PRP is obtained from blood and contains only growth factors; it contains no living stem cells.
Diabetes damages both blood vessels and nerve endings and can cause severe erectile difficulty. Conventional PDE5 inhibitor tablets are often ineffective in these patients.
SVF treatment requires advanced equipment and a sterile clinical environment. The process takes approximately two to three hours and the patient is discharged the same day.
No. The fat harvesting is carried out under local anaesthetic and patients feel only mild pressure. The injections into the penis are made with very fine needles, and numbing creams are applied beforehand.
The first effects of SVF treatment generally begin to be felt from the first month. Because cellular repair continues, the clearest results are seen between the third and sixth month.
A single session of SVF is usually sufficient for erectile difficulty or Peyronie's disease. In patients with very advanced tissue damage, or in cases of azoospermia, a second supporting session may be planned after six months or…
Because the patient's own cells are used, SVF carries one of the lowest risks of side effects of any treatment. Provided it is carried out under sterile conditions, the risk of allergic reaction or infection is negligible.
Men with erectile difficulty at any level, those who have not responded to medication, those with Peyronie’s disease and men diagnosed with azoospermia are suitable candidates.
What is Shock Wave Therapy? · 8 questions
Shock wave therapy (ESWT) is a non-invasive treatment method in which high-energy acoustic waves are transmitted to the body to reduce pain and accelerate healing.
Shock wave therapy is performed by a specialist doctor or physiotherapist using a dedicated device. The treatment process proceeds as follows: Preparation: Before the treatment, a gel is applied to the targeted area to facilitate…
Shock wave therapy is preferred as an effective option for the treatment of various conditions. Here are the situations where this therapy is commonly used: Plantar Fasciitis This condition, which causes pain in the sole of the…
Shock wave therapy is safe for most patients, but its application is not recommended in certain cases. Here are the situations where this therapy is not suitable: Pregnancy Shock wave therapy should not be used on pregnant women.
Shock wave therapy is used to treat a wide range of diseases and conditions. This therapy is commonly preferred for the following conditions:
Pain during shock wave therapy can vary from person to person. Most patients report feeling minimal pain during the treatment process, but this may depend on the strength of the shock waves, the sensitivity of the treated area…
The sensation of pain is directly related to the energy and intensity of the shock waves applied in shock wave therapy. The sensitivity of the treated area, the type of condition being treated, and the patient's overall health…
While shock wave therapy is generally considered a safe treatment method, in some cases, side effects and risks may occur. However, these effects are usually temporary, and mild discomfort may be experienced during or after the…
Venous Insufficiency · 10 questions
Venous insufficiency is a condition where blood cannot adequately return to the heart from the veins in the legs. This problem typically arises due to the weakening or damage of the vein valves.
The primary causes of venous insufficiency include genetic predisposition, aging, obesity, prolonged standing or sitting, and inactivity.
Venous insufficiency is generally categorized into two main types: superficial venous insufficiency and deep venous insufficiency.
The symptoms of chronic venous insufficiency typically develop gradually and worsen over time. The most common symptoms include swelling in the legs, especially increasing pain and a feeling of heaviness as the day progresses.
Treatment for venous insufficiency varies depending on the severity of the condition and the symptoms present. In the initial stage, lifestyle changes and simple measures are often recommended.
Yes, venous insufficiency can be related to genetic factors. Individuals with a family history of venous insufficiency are at higher risk of developing the condition.
If left untreated, venous insufficiency can lead to serious complications, including skin infections, ulcers, and deep vein thrombosis (DVT).
Regular exercise strengthens the leg muscles and improves blood circulation, which can reduce the risk of venous insufficiency.
Low-impact exercises such as walking, swimming, and cycling can improve blood flow in the legs and provide protection against venous insufficiency.
Venous insufficiency cannot be completely cured, but symptoms can be managed and complications prevented. Early diagnosis and appropriate treatment can help prevent the progression of the disease.
Erectile Dysfunction · 4 questions
If erectile dysfunction occurs occasionally or frequently and negatively impacts your sex life and self-confidence, it is important to see a doctor. Your doctor can diagnose the cause of the problem and offer treatment options.
Adopting a healthy lifestyle can help reduce the risk of erectile dysfunction. This includes: Quitting smoking Eating a healthy diet Exercising regularly Losing weight Managing stress levels Avoiding alcohol and drugs
Your doctor will ask you some questions to diagnose erectile dysfunction. These may include: How long has the erectile dysfunction been going on? How often do you experience erectile dysfunction? Is the erectile dysfunction more…
The treatment of erectile dysfunction depends on the underlying cause. After determining the cause, your doctor will recommend the most appropriate treatment.
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